Abstract

Neurological injury is the most feared complication of thoracic aortic surgery and is devastating in its consequences. There can be little doubt that over the last 10 years there has been a dramatic reduction in risk of brain damage because of refinement in technique and protective measures. Unfortunately, this complication still occurs sporadically and often unpredictably and continues to cause death and serious disability. A comprehensive review of all aetiological and protective aspects is outside the scope of the present review. The following distinct aspects merit discussion.